| NAME |
RADIAGEL WOUND DRESSING GEL |
| VA GENERIC NAME |
RADIAGEL |
| DOSAGE FORM |
GEL,TOP |
| CS FEDERAL SCHEDULE |
Unscheduled |
| NATIONAL FORMULARY NAME |
RADIAGEL GEL,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
RADIAGEL WOUND DRESSING GEL |
| VA PRODUCT IDENTIFIER |
R0151 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
GM |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4016340 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
-
- 2012-09-06 00:00:00
- STATUS: INACTIVE
|
